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The Annals of Thoracic Surgery, Vol 36, 524-528, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

The importance of one-stage median sternotomy and retroperitoneal node dissection in disseminated testicular cancer

I Mandelbaum, PB Yaw, LH Einhorn, SD Williams, RG Rowland and JP Donohue

More than 350 patients with testicular germ cell cancer have been treated with cisplatin combination chemotherapy. Seventy-two with metastases to the thorax who had operation are discussed here. In a subgroup of 24 patients with additional retroperitoneal disease, a one- stage median sternotomy was performed in 18 patients, and a thoracotomy in 6, with retroperitoneal node dissection. Seventeen patients had similar pathological lesions in the thorax and retroperitoneum; in 7, the lesions differed. There was no operative mortality in the entire group. Overall, chemotherapy altered the metastases to mature teratoma in 28 patients, and 27 are long-term survivors. Among 22 patients with fibrotic, necrotic masses, 19 are long-term survivors; 6 of the 22 with persistent carcinoma had chemotherapy postoperatively and are long-term survivors. The overall cure rate for patients with disseminated testicular cancer is approximately 80%. Among those who had a one-stage thoracoretroperitoneal procedure, long-term survival is 83%; for the entire thoracic surgical group, it is 74%.


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D. Liu, A. Abolhoda, M. E. Burt, N. Martini, M. S. Bains, R. J. Downey, V. W. Rusch, G. J. Bosl, and R. J. Ginsberg
Pulmonary metastasectomy for testicular germ cell tumors: A 28-year experience
Ann. Thorac. Surg., November 1, 1998; 66(5): 1709 - 1714.
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Copyright © 1983 by The Society of Thoracic Surgeons.